Organization
PROVIDENCE IN-HOME CARE, INC.
Active
Other names
Providence Skilled Nursing Care
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY W. MWENJE (ADMINISTRATOR/PRESIDENT)
(301) 490-5900
Entity
Organization
Contact information
Practice address
1401 MERCANTILE LANE, SUITE # 200 AA, LARGO, MD 20774
(301) 490-5900
(301) 830-8335
Mailing address
PO BOX 8503, ALEXANDRIA, VA 22306-8503
(301) 490-5900
(301) 830-8335
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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